Vibratory stimulation in non-growing patients and its effect on the orthodontic tooth movement

Tanushree Sharma, Ankita Gupta, Aseem Sharma, Pulkit Vaid, Kamlesh Singh


Background: Objectives of the study were to determine the impact of vibratory stimulation in non-growing patients on the orthodontic tooth movement rate and to differentiate the orthodontic tooth movement rate in both experimental and control sides.

Methods: 30 non-growing patients were selected for a split-mouth study with fixed appliance therapy orthodontic treatment undergoing bilateral first premolar extractions in maxillary arch. Type 1 active tiebacks were used to perform single canine retraction in all the patients. Vibratory stimulation was provided for 15 minutes daily with the help of Oral-B battery powered toothbrushes of 125 Hz frequency. Measurement was taken with calibrated digital vernier caliper clinically and OPG were taken at regular time intervals using grid method for the tooth movement calculation.

Results: P value obtained by statistical calculation shows non-significant results in both experimental and control sides in non-growing patients.

Conclusions: Cyclic loading in non-growing patients with fixed orthodontic appliance shows no change in orthodontic tooth movement in experimental and control group.


Cyclic loading, Vibrations, Vibratory stimulation, Orthodontic tooth movement, split-mouth study

Full Text:



Orton-Gibbs S, Kim NY. Clinical experience with the use of Pulsatile forces to accelerate treatment. J Clinical Orthod. 2015;XLIX(9):557-73.

Norevall LI, Forsgren S, Matsson L. Expression of neuropeptides (CGRP, substance P) during and after orthodontic tooth movement in the rat. Eur J Orthod. 1995;17(4):311-25.

Bozkurt AP, Cinsar A. Effects of mechanical vibration force on tooth movement; Finite element Analysis. Int J Res Granthaalayah. 2018;6(1):504-15.

Al-Sayagh NM, Salman DKA. The effect of mechanical vibration on the velocity of orthodontic tooth movement. Int J enhanced Res Sci Technol Engineering. 2014;3(1):284-91.

Kulkarni RN, Voglewede PA, Liu D. Mechanical vibration inhibits osteoclast formation by reducing DC-STAMP receptor expression in osteoclast precursor cells. Bone. 2013;57(2):493-8.

Lau E, Al-Dujaili S, Guenther A, Liu D, Wang L, You L. Effect of low-magnitude, high-frequency vibration on osteocytes in the regulation of osteoclasts. Bone. 2010;46:1508-15.

El-Bialy T. The effect of high frequency vibration on tooth movement and alveolar bone in non-growing skeletal class-II high angle orthodontic patients; case series. Dent J. 2020;8:110.

Pavlin D, Anthony R, Raj V, Gakunga PT. Cyclic loading (vibration) accelerates tooth movement in orthodontic patients: A double-blind, randomized controlled trial. Semin Orthod. 2015;21:187-94.

Bowman SJ. The effect of vibration on molar distalization. J Clinical Orthod. 2016;L(11):683-93.

Uribe F, Dutra E, Chandhoke T. Effect of cyclical forces on orthodontic tooth movement, from animals to humans. Orthod Craniofac Res. 2017;20(1):68-71.

Alikhani M, Raptis M, Zoldan B, Sangsuwon C, Lee YB, Alyami B et al. Effect of micro-osteoperforations on the rate of tooth movement. Am J Orthod Dentofacial Orthop. 2013;144:639-48.

Yilmaz H, Ozlu FC, Turk T. The effect of 12 weeks of mechanical vibration on root resorption: a micro-CT study. Prog Orthod. 2021;22:28.

Leethanakul C, Suamphan S, Jitpukdeebodintra S, Thongudomporn U, Charoemratrote C. Vibratory stimulation increases interleukin- 1 beta secretion during orthodontic tooth movement. Angle Orthod. 2016;86:74-80.

Liao Z, Elekdag-Turk S, Turk T, Grove J, Dalci O, Chen J et al. Computational and clinical investigation on the role of mechanical vibration on orthodontic tooth movement. J Biomechanics. 2017;60:57-64.

Azeem M, Afzal A, Ali Jawa S, Haq AU, Khan A. Effectiveness of electric toothbrush as vibration method on orthodontic tooth movement: A split mouth study. Dental Press J Orthod. 2019;24:02.

Woodhouse NR, DiBiase AT, Johnson N, Slipper C, Grant J, Alsaleh M et al. Supplemental vibrational force during orthodontic alignment: A randomized trial. J Dent Res. 2015;94(5):682-9.

Miles P, Smith H, Weyant R, Rinchuse DJ. The effects of a vibrational appliance on tooth movement and patient discomfort: a prospective randomized clinical trial. Aust Orthod J. 2012;28:213-8.

Miles P, Fisher E, Pandis N. Assessment of the rate of premolar extraction space closure in the maxillary arch with the Acceledent Aura appliance vs no appliance in adolescents: A single-blind randomized clinical trial. Am J Orthod Dentofacial Orthop. 2018;153:8-14.